Individual
KIRSTEN M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1062 W MILLS ST, COLUMBUS, NC 28722-8635
(828) 894-3900
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7427
NC
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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